Meeting Registration


Early registration deadline is March 23, 2012. The cost of the seminar will be $1325 per TDO doctor and $525 per spouse/staff member, if you register on or before March 23, 2012. After this date the price will be $1475 per doctor and $575 per spouse/staff member. If you are a guest considering purchasing TDO, the registration fee will be $525 or $375 for Saturday only. If you are a postgraduate resident, the registration fee will be $250 or $125 for Saturday only.

Click here to reserve a room now!

If you are a guest interested in attending the Thursday Scientific Session only, the charge will be $275.

Cancellation deadline is April 26. If you cancel after April 26, your registration fee is non-refundable.




 
* Required Fields
Are you only attending the Scientific Session on Thursday, May 17,
 
and not the training sessions on Friday and Saturday?
Are you a guest considering purchasing TDO?
Are you a postgraduate resident?
Number of Doctors:
* Doctor's Full Names
(First and Last)
 
Number of Spouse/Staff Members:
* Spouse/Staff Members' Full Names
(First and Last)
 
If spouse is listed above will they attend the TDO training classes?
Number of attendees for Thursday's Scientific Sessions
Number of attendees for Friday's Training Sessions
Number of attendees for Saturday's Training Sessions

Special Events

Will you attend the TDO Meeting Reception
on Thursday, May 17 from 6:00 to 9 p.m.?
If so, how many attending?
   
Are you interested in playing in the Golf Tournament on Friday afternoon, May 18?
(Special prizes include Kodak and J. Morita CBCT machines for a hole-in-one.)


Will you attend the TDO Meeting Dinner
on Saturday, May 19?
If so, how many attending?
(Non-registered attendee
adult plate will be $130)
   


Practice/Billing Information
* Name:
   
* Street:
   
* City:
   
* State:
   
* Zip Code:
   
* Country:
* Your Phone:
   
Back Line Phone:
* Your E-mail:
   
Payment Information
* Method:
   
If paying by check, please make it payable to PERF and mail to:

Pacific Endodontic Research Foundation
6235 Lusk Blvd.
San Diego, CA 92121

If paying by credit card, please fill out the fields below.

Credit Card Number:
   
Expiration Date (Month/Year):
/    
CID, if American Express. Typically it is a 4-digit number located in front of the card by the main numbers.